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Post-bariatric Abdominoplasty: Identification of Risk Factors for Complications
Karen De Paep1, Ilia Van Campenhout1, Sebastiaan Van Cauwenberge2
1Department of Bariatric & Post-Bariatric Surgery, AZ Sint-Jan Brugge-Oostende AV, Ruddershove 10, 8000, Brugge, Belgium.
Post-bariatric abdominoplasty complication rates are low with standardized techniques. Key predictors for complications include tissue resected, time since bariatric surgery, BMI, male gender, diabetes, and smoking.
Area of Science:
- Plastic Surgery
- Bariatric Surgery Outcomes
Background:
- Abdominoplasty is frequently performed after bariatric surgery to address excess skin.
- Assessing complication rates and identifying risk factors is crucial for patient safety.
Purpose of the Study:
- To evaluate the complication rate following abdominoplasty in a high-volume post-bariatric surgery center.
- To identify predictors associated with complications after these procedures.
Main Methods:
- Retrospective analysis of abdominoplasty procedures from January 2011 to December 2019.
- Complications were classified using the Clavien-Dindo system.
- Statistical evaluation of potential risk factors for complications.
Main Results:
- 898 patients were included, with an overall complication rate of 29.8%.
- Predictors for complications included weight of resected tissue, interval post-bariatric surgery, preoperative BMI, male gender, type 2 diabetes, and smoking.
- Higher complication rates correlated with increased tissue resection and longer intervals between surgeries.
Conclusions:
- Standardized techniques in high-volume centers yield low complication rates for post-bariatric abdominoplasty.
- Tissue resected, time since bariatric surgery, BMI, male gender, diabetes, and smoking are significant risk factors.
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